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Titlebook: Current Concepts of Intestinal Failure; Risto J. Rintala,Mikko Pakarinen,Tomas Wester Book 2016 Springer International Publishing Switzerl

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Bacterial Overgrowth and Intestinal Microbiome,d intestinal failure. By definition, patients with intestinal failure require TPN due to significant anatomic, mucosal, or motility disturbances. These factors in addition to pharmacologic and systemic comorbidities remodel the intestinal flora, creating a cascade of downstream pathophysiologic and
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Recent Advances in Nutritional Care of Patients with Intestinal Failure,to sustain life and growth requirements of a child. IF leads to chronic dependence on parenteral nutrition (PN) to maintain adequate growth, hydration, and micronutrient balance. The etiology of IF recognizes the short bowel syndrome (SBS) where congenital or acquired lesions have determined extensi
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Short Bowel Syndrome: Pharmacological Improvement of Bowel Function and Adaptation,el function and adaptation is provided. In this chapter, the patient and treatment effect heterogeneity regarding conventional pharmacological and newer mediators of intestinal adaptation in short bowel syndrome (SBS) patients is presented. The more frequent use of metabolic balance studies to docum
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Modern Intestinal Rehabilitation and Outcomes,at in the end survived (Koeberle E. Bull Acad Med 8:249–50, 1881). In the late 1960s, parenteral nutrition (PN) became available having a tremendous impact in the management and outcome of patients with short bowel syndrome (SBS). Once PN support was better developed in the 1970s, the field moved to
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Longitudinal Intestinal Lengthening, is lengthened and tailored. Longitudinal intestinal lengthening and tailoring (LILT) technique is based on anatomical peculiarity of the small intestine’s blood supply, when two leaves of the mesentery provide blood supply to each half of the circumference of the small bowel. Therefore, small bowel
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Controlled Tissue Expansion,gered by formation of tube stomas. Controlled tissue expansion (CTE) is a surgical approach aiming to dilate remaining bowel in patient suffering from short bowel syndrome. CTE consists in clamping the proximal tube stoma and recycling the effluent in the distal bowel. The goal is to increase the le
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Pediatric Small Bowel Transplantation: An Update,cations from long-term PN. Intestinal transplantation is now an accepted treatment for the pediatric population developing irreversible intestinal failure resulting from either short gut syndrome or functional bowel problems with preserved length. Over the years several modifications in immunosuppre
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